| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $50.90 | |
BCBS
| Facility | $58.48 | $69.62 | $117.80 | |
BCBS
| Professional | $2.50 | $2.50 | $98.00 | |
Cigna
| Facility | $64.00 | $64.00 | $82.45 | |
Cigna
| Professional | $70.08 | $70.08 | $70.08 |